NPIMap

Organization Active NPI

Ann Wang-Dohlman, MD, PC

  • Allergy Physician
  • Newton, MA
National Provider Identifier
1043419104
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
79655 Issued in MA
Legal business name
ANN WANG-DOHLMAN, MD, PC
Practice address
2000 Washington St
Suite 205
Newton, MA 02462-1650
Phone
(617) 527-3440
Fax
(617) 641-9947
NPI assigned
Jul 17, 2007
Last updated
Jul 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ann An-Lien Wang-Dohlman, M.D.NPI 1134286693
Title
Owner
Phone
(617) 527-3440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 79655 MA Primary

Addresses

Primary practice location

2000 Washington St
Suite 205
Newton, MA 02462-1650

Mailing address

2000 Washington St
Suite 205
Newton, MA 02462-1650
Phone (617) 527-3440

Other identifiers 4

IdentifierTypeStateIssuer
AW26941MedicaidRI
C79122OtherUPIN
9714201MedicaidMA
30010028MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110525000086 MA Part B Supplier - Clinic/Group Practice 6901082015 Receives reassigned benefits from 1 practitioner
Practice locations: Newton, MA

National Provider Directory

National Provider Directory

Locations

2000 Washington St
Ste 205
Newton Lower Falls, MA 02462
Phone (617) 527-3440

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1043419104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST",
            "address_2": "SUITE 205",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621650",
            "telephone_number": "617-527-3440",
            "fax_number": "617-641-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST",
            "address_2": "SUITE 205",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621650",
            "telephone_number": "617-527-3440",
            "fax_number": "617-641-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN WANG-DOHLMAN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "WANG-DOHLMAN",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "AN-LIEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-527-3440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MA",
            "license": "79655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AW26941",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "C79122",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9714201",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30010028",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.